JAKE SIMUNCAK

LA CROSSE, WI
NPI1649904871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2022-07-13
Last Update Date2022-07-13
Business Address
JAKE SIMUNCAK
1316 WINNEBAGO ST
LA CROSSE, WI 54601-4816
Phone number: 414-559-9161
Mailing Address
JAKE SIMUNCAK
1316 WINNEBAGO ST
LA CROSSE, WI 54601-4816
Phone number: